Individual
NICOLE A. NOTOWIDIGDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
4801 W. PETERSON AVENUE, SUITE 512, CHICAGO, IL 60646
(312) 806-7937
Mailing address
6430 N CENTRAL AVE STE A, CHICAGO, IL 60646-2943
(312) 806-7937
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1095773
IL
Other
Enumeration date
06/30/2009
Last updated
05/07/2025
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